Individual
DR. DOUGLASS WOODROW BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, ATC, CSCS
Contact information
Practice address
1650 COCHRANE CIR BLDG 7503, FORT CARSON, CO 80913-4613
(719) 526-7120
(719) 526-7072
Mailing address
6426 HAWKEYE CIR, COLORADO SPRINGS, CO 80919-1702
(719) 246-5017
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
PTL.0007135
CO
2255A2300X
Athletic Trainer
AT.0001799
CO
Other
Enumeration date
02/01/2007
Last updated
01/06/2025
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